AFFIDAVIT
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(FULL NAMES AND NATIONAL REGISTRATION NUMBERS)
residing at --------------------------------------------------------------------------------------------------
do hereby solemnly and swear/declare the following: - .........................................................
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I make the above statement conscientiously believing the same to be true.
Signed...................................................
Signed before me at .................................. this ................ day of ...................... .................
DATE MONTH YEAR
Signed.....................................................
(COMMISSIONER OF OATHS)